Individual
TIFFANY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 OAK ST, GREENSBORO, NC 27403
(336) 370-6905
Mailing address
3125 KATHLEEN AVE # PB216, GREENSBORO, NC 27408-7819
(336) 370-6905
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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